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A British surgeon who treated him said Adam's "left arm was just about hanging off, he was covered in fragment injuries and he had several substantial lacerations" when he arrived at the hospital.

A plastic surgeon has been jailed for life for attempting to murder a colleague he wanted "out of the way" because he was a witness against him in disciplinary proceedings.

After visiting hospitals in Nottingham, Sheffield, and Lincoln, a surgeon in Leicester figured out how to proceed with the removal, Mr Lewis said.

It was based on the 1968 book, "MASH: A Novel About Three Army Doctors," penned by an Army surgeon.

She agreed with the court's decision not to impose preventative detention on the former surgeon, adding: "It needs to remain an entirely exceptional punishment."